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In the healthcare sector, maintaining financial stability while delivering exceptional patient care can often feel like walking a tightrope. The complexities may lead to errors, delays, and admin overheads. In addition, regulatory changes and high claim denial rates further impact the bottom lines of the healthcare centers. Our solutions, that includes medical billing, coding, and accounts receivable management, are geared to effectively address these challenges.

Our consultants navigate billing regulations, payer requirements, and best practices to ensure compliance. We stay updated with regulations and adhere to stringent measures for data security and confidentiality, with 100% HIPAA-compliant processes and certifications including ISO 27001 and SOC2. We specialize in accurate coding, documentation, and efficient claims management, increasing revenue collection and financial stability. Our track record of 99%+ quality and 98% of claims paid on the first pass highlights our efficiency.

We effortlessly manage any workload fluctuation, thus enabling you to handle demand spikes and our familiarity with practice management systems ensures seamless integration with your infrastructure. Outsource RCM services to us today to eliminate overheads, save resources, and enhance reimbursements. Contact us now for an initial, no-obligation consultation.

Healthcare Revenue Cycle Management Services We Offer

We offer an array of specialized services tailored to meet the unique needs of billing companies, revenue cycle management firms, and other organizations in the healthcare sector. Our comprehensive solutions allow your organization to overcome revenue challenges, enhance patient care, and achieve operational excellence -

Medical Claims Processing Services

Medical Claims Processing Services

Seamlessly navigate the intricate world of medical claims with our expert processing services. Our skilled team ensures accurate claim submissions, reducing denials and accelerating reimbursements.

Accounts Receivables Services

Accounts Receivables Services

Enhance financial stability and cash flow with our dedicated accounts receivable management. Our proven strategies optimize collections and reduce outstanding balances.

Insurance Eligibility Verification

Insurance Eligibility Verification

Minimize claim rejections and denials by leveraging our insurance eligibility verification services. We ensure accurate patient information and coverage details, enabling a smoother claims process and improved reimbursements.

Denial Management Services

Denial Management Services

Tackle claim denials head-on with our comprehensive denial management solutions. Our experienced team identifies root causes, implements corrective measures, and ensures a higher percentage of claims get paid on the first pass.

Accounts Receivable Conversion Services

Accounts Receivable Conversion Services

Transform your accounts receivable process for greater efficiency and accuracy. Our conversion services streamline data entry and billing, leading to reduced errors and improved overall revenue cycle performance.

Payment Posting Services

Payment Posting Services

Ensure accurate and timely posting of payments with our dedicated services. We streamline the payment posting process, reducing discrepancies and ensuring your financial records are up-to-date.

Healthcare Payer Services

Healthcare Payer Services

Partner with us for expert management of payer relationships. Our services encompass contract negotiations, fee schedule analysis, and payer compliance, ensuring optimal reimbursements and sustained financial growth.

Healthcare Collection Services

Healthcare Collection Services

Navigate the challenging terrain of healthcare collections with confidence. Our experienced team employs ethical and strategic collection methods, reducing outstanding balances and improving overall financial health.

Dental Revenue Cycle Management Services

Dental Revenue Cycle Management Services

Tailored specifically for dental practices, our RCM services optimize revenue collection, streamline claims processing, and enhance patient experience.

Accounts Receivable Follow-up

Accounts Receivable Follow-up

Accelerate revenue realization with our diligent accounts receivable follow-up services. Our team tirelessly pursues outstanding payments, reducing aging accounts and improving cash flow.

Patient Experience

Patient Experience

Elevate patient satisfaction and loyalty through our patient experience solutions. By streamlining billing processes, improving communication, and ensuring accurate statements, we enhance patient interactions and overall satisfaction.

Revenue Cycle Analytics

Revenue Cycle Analytics

Unlock valuable insights into your revenue cycle performance with our advanced analytics. Make informed decisions, identify trends, and optimize strategies for enhanced financial outcomes.

Process Flow for Streamlined RCM Services

Navigating the complexities of revenue cycle management in the healthcare sector requires a strategic approach that ensures accurate claims processing, timely reimbursements, and minimized denials. We have streamlined this process to provide you with comprehensive and efficient revenue cycle management solutions. Here is how our services work -

1

Patient Pre-authorization

Initiating the revenue cycle with pre-authorization ensures a smooth billing process, minimizing delays and denials down the line.

2

Insurance Eligibility and Verification

Our experts handle the entire claims submission process, from accurate coding to timely submissions, optimizing your reimbursement potential.

3

Insurance Claims Submission

Our experts handle the entire claims submission process, from accurate coding to timely submissions, optimizing your reimbursement potential.

4

Payment Posting

Efficient payment posting and reconciliation processes guarantee accurate financial records and improved cash flow.

5

Denial management

Our dedicated denial management team identifies and addresses claim denials promptly, maximizing revenue collection.

6

Reporting

Gain valuable insights into your revenue cycle performance through comprehensive reporting, enabling data-driven decision-making and continuous improvement.

The Strategic Benefits of RCM Services for Healthcare Providers

Experience unmatched precision in financial management with our RCM services, meticulously designed to optimize claim reimbursements and reduce operational costs for healthcare providers. By leveraging our data-driven insights and regulatory expertise, we ensure healthcare providers achieve superior billing accuracy and compliance, directly impacting their bottom line with measurable results.

Why Choose Us as Your Revenue Cycle Management Company?

Our solutions are designed to provide you with a seamless path to financial stability and success. By choosing us as your revenue cycle management service provider, you make a strategic decision that goes beyond mere outsourcing – it is a partnership that delivers tangible results. Benefits of our revenue cycle management outsourcing services include -

Additional Services You Can Benefit From

We provide HIPAA-compliant medical transcription solutions and services to healthcare providers worldwide.

If you are looking for accurate and reliable medical billing support for your company, we have got you covered. We provide 100% reliable coding services.

Our medical coding services are provided by seasoned healthcare professionals with a firm grasp of the concepts in their field.

If you are looking for support for your pharmacy business, you are in the right place. We provide comprehensive services for all requirements.

We have significant experience and expertise in handling all types of medical claims. We ensure that all claims are processed and payments received.

We can remotely manage your EMR and EHR records so that they are spotlessly clean and can be relied upon to make informed decisions.

If you are looking to partner with a pioneering provider of telehealth services, you are in the right place. We use digital technologies to make healthcare accessible to all.

We have been designing and creating medical animations for over 20 years. Our seasoned animators have created animations of devices and complex concepts.

RCM Services Software We Use

NextGen healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing

Client Success Stories

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Healthcare Account Receivable Services

A leading client was looking for a partner who could help them with accurate account receivable services. Our team provided the services within a quick time.

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Insurance Eligibility and Verification Services

A leading birth control telemedicine provider was looking for a service provider who could help them with insurance eligibility and verification services. Our team provided the services in no time.

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Success Stories

Outsource Revenue Cycle Management Services to Us

Maximize your financial health and streamline operations by outsourcing your Revenue Cycle Management (RCM) to our expert team. With a focus on strategic growth and operational excellence, we equip healthcare entities with state-of-the-art RCM services that drive revenue, enhance patient satisfaction, and maintain compliance with evolving healthcare standards. Our sophisticated analytics and customized technology solutions are engineered to tackle the full spectrum of RCM challenges, from patient registration to final payment reconciliation.

By partnering with us, you gain access to a dedicated team of industry professionals, leveraging their deep expertise to optimize your billing processes, reduce claim denials, and ensure a steady cash flow. Our commitment to excellence and continuous improvement in RCM makes us the ideal partner to elevate your organization's performance and profitability.

Ready to transform your RCM process? Connect with us today and take the first step towards financial optimization and sustainable growth.

Contact Us

FAQs

By outsourcing RCM services, healthcare providers benefit from reduced operational costs, enhanced claim reimbursement rates through expert coding and billing, and streamlined administrative processes. This allows providers to concentrate on delivering quality patient care, leveraging outsourced expertise to navigate complex payer landscapes and regulatory compliance, improving their financial health.

Selecting a reputable RCM services provider involves evaluating their compliance track record, including HIPAA adherence and certification standards like ISO 27001 and SOC2. Assess their technological capabilities, domain expertise, performance metrics such as claim resolution rate and turnaround time, and client testimonials to ensure they align with your organization's needs.

Yes, our RCM services provide comprehensive support, encompassing the entire revenue cycle from patient access, charge capture, and claim submission to payment posting, denial management, and accounts receivable follow-up, ensuring a cohesive and efficient revenue management process.

Our RCM services utilize a suite of advanced tools including electronic health record (EHR) integration, medical billing software, coding interfaces, AI-driven analytics for predictive modeling, and automated denial management systems to optimize the revenue cycle process.

The cost of our RCM services is structured to provide value and return on investment, typically based on a percentage of collections or a fee-per-claim model, ensuring alignment with client success. We offer scalable pricing models to accommodate the varying needs and sizes of healthcare organizations.

The transition to our RCM services is designed for minimal disruption, typically ranging from a few weeks to a couple of months, depending on the complexity of the current system, the extent of services required, and the level of customization needed for seamless integration.

Yes, our RCM services are equipped with mobile compatibility and patient engagement tools, such as patient portals, mobile billing applications, and communication platforms, to enhance patient experience, facilitate on-the-go access, and improve overall engagement and satisfaction.

Avail best-in-class services at affordable rates

Starts @ $1280-1440 per FTE/month More details

Our Customers

Movement Mortgage
Alcon
ARI
Maximus
Redwood E-Learning Systems

AHIMA Healthcare Convention 2016

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USA

Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540


PHILIPPINES

Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000

KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

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